强迫症患者艾森克人格与父母教养方式的研究  

Study on Eysenck personality and parental rearing styles in patients with obsessive-compulsive disorder

作　　者：化振[1] 杨来启[1] 刘光雄[1] 吴兴曲[1] 马文涛[1] 邓自和[1] 张彦[1] 贾婷[1] 

机构地区：[1]中国人民解放军第三医院全军精神防治中心,陕西省宝鸡721004

出　　处：《中国医师杂志》2013年第7期908-910,共3页Journal of Chinese Physician

摘　　要：目的探讨强迫症患者的艾森克人格、父母教养方式特点及相关性。方法对58例强迫症患者和69例正常对照组，分别进行艾森克人格问卷（EPQ）、父母教养方式问卷调查，比较父母不同教养方式对强迫症患者的艾森克人格的影响。结果（1）患者组艾森克人格在精神质（P）、内-外向（E）、掩饰性（L）三项低于对照组（t=-3．49，-6．38，-4．63，P〈0．01），在神经质（N）高于对照组（t=13．22，P〈0．01）；（2）患者组父亲教养方式在情感温暖理解、偏爱被试低于对照组（t=-7．71，-3．25，P〈0．01），在惩罚严厉、拒绝否认高于对照组（t：14．16，6．42，P〈0．01）；母亲教养方式在情感温暖理解、偏爱被试低于对照组（t=-5．72，-2．61，P〈0．01），在惩罚严厉、过度保护过度干涉、拒绝否认高于对照组（t=4．78，3．14，6．77，P〈0．01）；（3）对照组中，父与母在惩罚严厉、拒绝否认因子上比较差异均有统计学意义（t=-9．88，-7．56，P〈0．01），在情感温暖理解、偏爱被试因子上无明显变化（P〉0．05）；患者组中，父与母在惩罚严厉、拒绝否认因子上较差异均有统计学意义（t=5．53，-5．62，P〈0．01），在情感温暖理解、偏爱被试因子上无明显变化（P〉0．05）；（4）J患者组中，EPQ中N与父母教养方式中的父亲拒绝否认、母亲惩罚严厉呈正相关（r=0．339，0．265，P〈0．05），与母亲过度保护过分干涉呈负相关（r：-0．314，P〈0．05）。结论强迫症患者存在人格缺陷，N与父母教养方式中的父亲拒绝否认、母亲惩罚严厉密切相关，亦与母亲过度保护过分干涉密切相关。患者康复治疗时要注重其个性的重塑。对父母有不良教育方式者要及时干预纠正，有利于培养子女健全的人格，可预防心理疾病的发生。Objective To explore Eysenck personality and parental rearing styles in patients with obsessive-compulsive disorder （OCD） and their correlation. Methods Eysenck personality questionnaire （EPQ）, and parental rearing Styles questionnaire were performed in 58 patients with OCD and 69 normal sub- jects. The statistical analysis such as t test and correlation analysis were used to analyze the data. Results （1） Compared with the normal controls, patients with OCD had lower P, E, L, and higher N in EPQ（ t = - 3.49, -6. 38, -4. 63, 13.22, P 〈0. 01 ）; （2）Compared with the normal controls, patients with OCD had lower father~ warmness and understanding, the preference（ t = -7.71, -3.25, P 〈0. 01 ）, and higher punishment, rejection and deny（ t = 14. 16,6. 42, P 〈 0. 01 ）in parental rearing styles questionnaire; patients with OCD had lower mother~ warmness and understanding, preference （ t = - 5.72, - 2. 61, P 〈 0. 01 ）, and higher mother＇s punishment, overprotection and excessive interference, rejection and deny （ t = 4. 78, 3. 14,6. 77, P 〈 0. 01 ） in parental rearing styles questionnaire; （3） There were statistical differences in punish- ment, rejection and deny（ t = -9. 88, -7. 56, P 〈0. 01）in father and mother~ rearing styles in normal sub- jects, no differences in warmness and understanding and preference（ P 〉0. 05） ; there were statistical differ- ences in punishment, rejection and deny（ t =5.53, -5.62, P 〈0. 01）in father and motherg rearing styles in patients with OCD, no differences in warmness and understanding and preference（ P 〉0. 05 ） ; （4） N of EPQ was significantly positively correlated with father＇s rejection and deny, mother＇s punishment（ r = 0. 339,0. 265,P 〈 0. 05 ）, and negatively correlated with mother＇s overprotection and excessive interference（ r = -0. 314, P 〈0. 05） in patients with OCD. Conclusions In clinical rehabilitation of patients in OCD, focusing on the reconstruction of their personality, and poor

关 键 词：强迫性人格障碍 人格评价 问卷调查 儿童抚养 双亲 

分 类 号：R749.7[医药卫生—神经病学与精神病学]